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clinical / clinicalARIEL4 rucaparib, PARP inhibitor ovarian cancer, BRCA biomarkers, HRD testingBispecific T-cell Engager Pioneer

Kathleen Moore

凯瑟琳·摩尔

MD, MS

🏢Stephenson Cancer Center, University of Oklahoma Health Sciences Center(美国俄克拉荷马大学健康科学中心史蒂芬森癌症中心)🌐USA

Associate Director of Clinical Research; Director, Drug Development Program; Professor, Gynecologic Oncology临床研究副主任;药物开发项目主任;妇科肿瘤学教授

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Key Contributions

👥Biography 个人简介

Kathleen Moore, MD, MS is Associate Director of Clinical Research and Director of the Drug Development Program at Stephenson Cancer Center, University of Oklahoma, where she leads one of the most productive gynecologic oncology clinical trial programs in the United States. She is internationally recognized for her leadership of the ARIEL clinical trial program for rucaparib, particularly ARIEL4 — the definitive randomized phase III trial comparing rucaparib to investigator's choice chemotherapy in patients with BRCA1/2-mutant platinum-sensitive recurrent ovarian cancer. The ARIEL4 results helped define the clinical positioning of rucaparib and contributed to the regulatory landscape of PARP inhibitors in the second-line ovarian cancer setting. Dr. Moore has been a principal investigator on foundational ARIEL2 and ARIEL3 studies that established the LOH-high genomic scar biomarker for predicting PARP inhibitor benefit beyond BRCA mutation, broadening the biomarker framework for patient selection. She has also led phase I/II trials of novel agents including antibody-drug conjugates, folate receptor alpha inhibitors (mirvetuximab soravtansine), and immune combination regimens. Dr. Moore is highly active in GOG Foundation, NRG Oncology, and GCIG, contributing to design of multiple cooperative group phase III trials. She is a respected educator in gynecologic oncology drug development and a frequent invited speaker at ASCO, SGO, and ESMO.

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🧪Research Fields 研究领域

PARP Inhibitor Therapy in Ovarian Cancer — Rucaparib, Niraparib, Olaparib Clinical Trials卵巢癌PARP抑制剂治疗——rucaparib、niraparib、olaparib临床试验
ARIEL4 Trial — Rucaparib versus Chemotherapy in BRCA-Mutant Recurrent Ovarian CancerARIEL4试验——BRCA突变复发卵巢癌中rucaparib对比化疗
Homologous Recombination Deficiency (HRD) Biomarker Development and PARP Sensitivity同源重组缺陷(HRD)生物标志物开发与PARP敏感性
BRCA1/2 Mutation Testing — Clinical Implementation and Reversion Mutation ResistanceBRCA1/2突变检测——临床实施与逆转突变耐药
Drug Development in Gynecologic Oncology — Phase I/II Novel Agent Trials妇科肿瘤学药物开发——I/II期新型药物试验

🎓Key Contributions 主要贡献

ARIEL4 — Rucaparib versus Chemotherapy in BRCA-Mutant Recurrent Ovarian Cancer

Served as global principal investigator for ARIEL4, a randomized phase III trial comparing rucaparib versus investigator's choice chemotherapy (single-agent paclitaxel, gemcitabine, or platinum-based therapy based on platinum-free interval) in 349 patients with BRCA1/2-mutant platinum-sensitive recurrent ovarian cancer. While rucaparib demonstrated superior PFS compared to non-platinum chemotherapy (HR 0.67), the platinum comparator arm performed similarly, clarifying the comparative value of PARP inhibition relative to platinum re-challenge. ARIEL4 provided important data on reversion mutations as a resistance mechanism and was essential in contextualizing rucaparib's role within the evolving PARP inhibitor competitive landscape.

ARIEL2/3 — LOH-High Genomic Scar as Predictive Biomarker for Rucaparib

Co-led the ARIEL2 Part 1 translational study that prospectively analyzed tumor loss of heterozygosity (LOH) as a genomic scar biomarker predicting rucaparib response in recurrent platinum-sensitive ovarian cancer, independent of germline/somatic BRCA mutation. Demonstrated that LOH-high (genomic scar-positive) patients without BRCA mutations achieved significantly better progression-free survival with rucaparib than LOH-low patients, providing the scientific rationale for expanding PARP inhibitor benefit beyond BRCA-mutant patients and establishing the Foundation Medicine myChoice-analogous LOH assay as a clinically applicable companion diagnostic.

BRCA Reversion Mutation Resistance to PARP Inhibitors

Contributed pivotal translational analyses characterizing BRCA1/2 reversion mutations — secondary mutations that restore the open reading frame of a germline or somatic BRCA mutation — as a dominant resistance mechanism to PARP inhibitor therapy. Using circulating tumor DNA and tumor biopsy analysis from ARIEL2 and ARIEL4 patients, demonstrated that reversion mutations are detectable in plasma and increase in frequency under PARP inhibitor selection pressure. These findings have direct clinical implications for re-treatment decision-making and the design of combination strategies to overcome PARP inhibitor resistance.

Drug Development Program — Phase I/II Novel Agent Trials

Directs the drug development program at Stephenson Cancer Center, activating first-in-human and expansion cohort trials of multiple novel agents in gynecologic cancers, including early investigations of ADCs, VEGFR inhibitors, and immunotherapy combinations in ovarian, endometrial, and cervical cancer. Contributed to early clinical development of mirvetuximab soravtansine in folate receptor-alpha-high ovarian cancer through correlative analyses and site leadership of FORWARD I.

Representative Works 代表性著作

[1]

Rucaparib versus Standard-of-Care Chemotherapy in Patients with Relapsed Ovarian Cancer and a Deleterious BRCA1 or BRCA2 Mutation (ARIEL4)

The Lancet Oncology (2022)

Phase III ARIEL4 randomized trial demonstrating rucaparib versus chemotherapy in BRCA-mutant recurrent ovarian cancer, clarifying PARP inhibitor positioning and characterizing platinum comparator performance.

[2]

Identification of BRCA1 and BRCA2 Mutations in the Rucaparib Phase 2 Study ARIEL2

The Lancet Oncology (2017)

ARIEL2 Part 1 establishing LOH-high genomic scar as predictive biomarker for rucaparib beyond BRCA mutation, broadening the patient population likely to benefit from PARP inhibition.

[3]

Maintenance Olaparib in Patients with Newly Diagnosed Advanced Ovarian Cancer (SOLO-1)

New England Journal of Medicine (2018)

Co-investigator on SOLO-1 establishing olaparib frontline maintenance in BRCA-mutant advanced ovarian cancer, a landmark trial that transformed first-line ovarian cancer treatment.

[4]

Niraparib Maintenance Therapy in Platinum-Sensitive, Recurrent Ovarian Cancer (ENGOT-OV16/NOVA)

New England Journal of Medicine (2016)

NOVA trial demonstrating niraparib maintenance PFS benefit regardless of germline BRCA status in platinum-sensitive recurrent ovarian cancer, expanding PARP inhibitor eligibility.

🏆Awards & Recognition 奖项与荣誉

🏆SGO Distinguished Service Award
🏆GOG Foundation Distinguished Investigator Award
🏆Oklahoma Medical Research Foundation Excellence Award
🏆ASCO Conquer Cancer Merit Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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